Special employment notice to disabled veterans, Vietnam era veterans, and individuals with physical or mental disabilities:

Government contractors are subject to 38 USC2012 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect our consideration for your employment.

Are you a veteran of the U.S. Military Service?*

Yes

No

Branch

Are you a disabled veteran?*

Yes

No

Are you a Vietnam Era Veteran?*

Yes

No

Are you a handicapped individual?*

Yes

No

Applicant's Statement

It is understood and agreed upon that any misrepresentation by me on this application or in any interview(s) will be sufficient cause for cancellation of this application and/or separation from the Laurens County DSN Board if I have been employed.I give the LCDSNB the right to investigate all references and to secure additional information about me, if job-related. This includes Law enforcement and driving records. I hereby release from liability the LCDSNB and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.The Laurens County DSN Board is an Equal Opportunity Employer. The LCDSNB does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.
I understand that just as I am free to resign at any time, the LCDSNB reserves the right to terminate my employment at any time with or without cause and without prior notice, so long as there is no violation of applicable federal or state law.I understand that no representative of the LCDSNB has the authority to make any assurances to the contrary. THIS APPLICATION DOES NOT IMPLY ANY CONTRACTUAL OBLIGATION.I understand it is the Laurens County DSN Board’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the AMERICANS WITH DISABILITIES ACT.If employed, I understand that I am required to complete all designated training and orientation and abide by all rules and regulations of the LCDSNB. I have read and understand the attached drug free workplace statement and consent to urinalyses.